Dontaskme, that's exactly what I was told, do more exercise! How, when it hurts to even walk? I know swimming or aquarobics would help but I am not comfortable in exposing my obese body to other people! You sound a lot worse than me yet are also not being offered surgery, that seems unfair as I know loads of people who have had new knees or hips without having to fight for them.
But, on a positive note, I took three lots of tramodol yesterday and also 40 mg I'd amitriptylin ( apparently you need to reduce amitriptylin doses slowly) and the pain in my knees seemed to reduce! I have researched on Arthritis UK website and it looks as if you can take both these medicines together so I will mention this to my GP when I see her in two weeks - provided that the improvement is sustained!
I have taken tramodol before and had no problems re addiction, I often forgot to take a dose and never took the full daily amount so was not needing a higher dose or clock watching for the next "fix". Also when I changed to amitriptylin, I just stopped taking the tramodol immediately and had no withdrawal symptoms. I do not really like taking such strong painkillers but needs must - I live on my own so have to shop, drive, clean etc for myself.
I'll keep you informed if the improvement is sustained as it might just be a placebo effect as I am desperate!